BALRAM GUPTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****71

NOT RENEWED

N

MD

BALRAM

GUPTA

BALRAM GUPTA MD

06/02/2009

07/11/2011

07/31/2014

BETTENDORF

IA

52722

IOWA

PRACTITIONER

II III IV V

N

11/17/2014